NIKKI ANNTOINETTE BROWN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003141

License Status

NOT RENEWED

Business

First Name

NIKKI

Middle

ANNTOINETTE

Last Name

BROWN

Business Name

NIKKI ANNTOINETTE BROWN

Original Issue Date

11/05/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

JOLIET

State

Zip

60436

County

WILL

Ever Disciplined

LastModifiedDate

09/22/2010